Provider Demographics
NPI:1316253719
Name:ECHOLS, ROSE ANN (RN,BSN,CNOR,RNFA)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:ANN
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:RN,BSN,CNOR,RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5452
Mailing Address - Country:US
Mailing Address - Phone:239-495-4300
Mailing Address - Fax:239-498-0512
Practice Address - Street 1:955 10TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5452
Practice Address - Country:US
Practice Address - Phone:239-495-4300
Practice Address - Fax:239-498-0512
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9206866163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse